The Role of Transcranial Doppler in Cerebral Vasospasm: A Literature Review

  • Sayesha Sharma
  • Reggie Jayson Lubrica
  • Minwoo Song
  • Rashmi Vandse
  • Warren Boling
  • Promod PillaiEmail author
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 127)


Transcranial Doppler ultrasonography (TCD) is a noninvasive technique used to detect vasospasms following a subarachnoid hemorrhage. While the gold standard to evaluate vasospasms is angiography, this technique is invasive and poses additional risks as compared to TCD. TCD is performed by insonating circle of Willis arteries to measure cerebral flow velocity. TCD allows dynamic monitoring of CBF-V and vessel pulsatility, with a high temporal resolution. It is relatively inexpensive, repeatable, and portable; however, the performance of TCD is highly operator dependent and can be difficult, especially with inadequate acoustic windows. This review summarizes the use of transcranial Doppler ultrasonography (TCD) for the assessment of cerebral vasospasm.


Transcranial Doppler ultrasonography Cerebral vasospasm Subarachnoid hemorrhage Angiography Prevention 



Aneurysmal subarachnoid hemorrhage


Basilar artery


Cerebral blood flow


Computed tomography


Computed tomography angiography


Delayed cerebral ischemia


Digital subtraction angiography


Internal carotid artery


Lindegaard ratio


Middle cerebral artery


Mean flow velocity


Magnetic resonance angiogram


Magnetic resonance imaging


Subarachnoid hemorrhage


Sviri ratio


Transcranial Doppler ultrasonography


Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Sayesha Sharma
    • 1
  • Reggie Jayson Lubrica
    • 1
  • Minwoo Song
    • 1
  • Rashmi Vandse
    • 1
  • Warren Boling
    • 1
  • Promod Pillai
    • 1
    Email author
  1. 1.Loma Linda UniversityLoma LindaUSA

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